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A deficiency or lack of Vitamin B12 is quite common in the over 65s, those diagnosed with pernicious anaemia, and in anyone who follows a vegan, strict vegetarian, or extreme/fad/restricted diet for a long time without taking a B12 supplement or eating fortified foods

If you think you might be low on B12, ask your doctor about getting a blood test to check your vitamin B12 level

However, when damage has already occurred or occurs as the result of using prescribed medications, it is essential that you follow the right steps

For example, after a total gastrectomy, we recommend that patients get B12 supplementation often in the form of B12 injections for the rest of their lives